Identities/MBR-023628
Gold, golden identity

Li Li

3 source records from 3 feeds.

MBR-023628Verified3 recordsOpen steward case

Golden record

Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip

First nameENR
Li
Middle name—
—
Last nameCLM
Li
Date of birthENR
2003-12-03
GenderENR
F
Member IDENR
UHC-11038-16
SSNENR
•••-••-7505
PhoneENR
5949420539
Email—
—
AddressENR
823 Bayshore Dr
CityENR
Houston
StateENR
TX
ZIPENR
77063
GroupENR
GRP-7745
PlanENR
MEDICARE-ADV-B
Min confidence
0.99
Sources
TPA ×1CLM ×1ENR ×1
Updated
2026-10-19 19:54:36
run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

0.990.990.99TPATPA-61363CLMCLM-425745ENRENR-133670IDMBR-023628
Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link

Linked source records

Silver values for each record in the cluster, and how it was attached

RecordSourceReceivedNameDOBMember IDPhoneAddressMethodConfidenceRule
TPA-61363TPA2026-04-02James Liflagged2003-12-03——823 Bayshore Dr, Houston, TXScored0.99—
CLM-425745CLM2026-09-23Jamees Liflagged2003-12-03——823 Bayshore Dr, Houston, TXScored0.99—
ENR-133670ENR2026-10-09Li Jamesflagged2003-12-03UHC-11038-165949420539823 Bayshore Dr, Houston, TXScored0.99—

Evidence

2 scored pairs among these records, expand a row for the per-field comparison

ABScoreMethodRuleDecision
▶TPA-61363TPA CLM-425745CLM0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.993
Date of birth1.003exact
Address1.002exact
Identifiers agreeing: 1Conflicts: noneGuard: none
▶TPA-61363TPA ENR-133670ENR0.99Scoredweighted similarityAuto-linked
FieldSimilarityWeightNote
Name0.953swapped
Date of birth1.003exact
SSN (last four)1.002.5
Address1.002exact
Identifiers agreeing: 2Conflicts: noneGuard: none

Actions

What downstream consumers did with this identity

  • Orphan claim re-pointedExecuted
    CLM-425745 → UHC-11038-16 (Li Li)
    ACT-001564, Claims processor

Audit

Hash-chained entries touching this identity or its records

  • 2026-10-19 19:54:38Record linked automatically7cb47b6aeb
    scoring_agent, ENR-133670, identity id MBR-023628, confidence 0.99, method probabilistic, matched record TPA-61363, policy version 1
  • 2026-10-19 19:54:38Record linked automaticallybc3ac5f2fa
    scoring_agent, CLM-425745, identity id MBR-023628, confidence 0.99, method probabilistic, matched record TPA-61363, policy version 1
  • 2026-10-19 19:54:38Record linked automatically94cd829e45
    scoring_agent, TPA-61363, identity id MBR-023628, confidence 0.99, method probabilistic, matched record CLM-425745, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyea5e5e28ab
    scoring_agent, ENR-133670, identity id MBR-023628, confidence 0.99, method probabilistic, matched record TPA-61363, policy version 1
  • 2026-10-19 19:52:09Record linked automaticallyf3ef793811
    scoring_agent, CLM-425745, identity id MBR-023628, confidence 0.99, method probabilistic, matched record TPA-61363, policy version 1
  • 2026-10-19 19:52:09Record linked automatically5450d3c2a0
    scoring_agent, TPA-61363, identity id MBR-023628, confidence 0.99, method probabilistic, matched record CLM-425745, policy version 1
  • 2026-10-19 19:45:42Record linked automatically96c6fab0b0
    scoring_agent, ENR-133670, identity id MBR-023628, confidence 0.99, method probabilistic, matched record TPA-61363, policy version 1
  • 2026-10-19 19:45:42Record linked automatically00b879600a
    scoring_agent, CLM-425745, identity id MBR-023628, confidence 0.99, method probabilistic, matched record TPA-61363, policy version 1
  • 2026-10-19 19:45:42Record linked automaticallyd2b840b5d2
    scoring_agent, TPA-61363, identity id MBR-023628, confidence 0.99, method probabilistic, matched record CLM-425745, policy version 1
  • 2026-10-19 19:32:31Record linked automatically64b366a051
    scoring_agent, ENR-133670, identity id MBR-023628, confidence 0.99, method probabilistic, matched record TPA-61363, policy version 1
  • 2026-10-19 19:32:31Record linked automatically67168a09f9
    scoring_agent, CLM-425745, identity id MBR-023628, confidence 0.99, method probabilistic, matched record TPA-61363, policy version 1
  • 2026-10-19 19:32:31Record linked automaticallycdf13684b1
    scoring_agent, TPA-61363, identity id MBR-023628, confidence 0.99, method probabilistic, matched record CLM-425745, policy version 1
  • 2026-10-19 19:31:28Record linked automatically82c9599f21
    scoring_agent, TPA-61363, identity id MBR-038863, confidence 1, method probabilistic, matched record ENR-134042, policy version 1
  • 2026-10-19 19:31:28Record linked automatically9e47e48a0d
    matching_agent, ENR-133670, identity id MBR-028034, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-133669
  • 2026-10-19 19:31:28Record linked automaticallyef2ba4aa29
    scoring_agent, CLM-425745, identity id MBR-016721, confidence 1, method probabilistic, matched record ENR-133985, policy version 1

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims
ClaimServiceProviderProceduresBilledPlan paidRulesStatus
CLM-2026-0009642026-09-05Canyon Diagnostic Imaging
in network
77067$318.00—DeniedDenied